Providence Health & Service - Oregon
Providence Health & Service - Oregon is a Pharmacy in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2015.
- Licensed in
- OR
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
4805 NE Glisan StPortland, OR 97213-2933
Phone: (503) 215-6080
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence RP-0000780 (OR) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1386034312 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tavis Smith — Operations Manager · (503) 215-6296 |
| Other names | Providence Portland Medical Center Pharmacy |
| NPI enumerated | January 29, 2015 |
| Last updated in NPPES | January 29, 2015 |
| Mailing address | 4805 Ne Glisan St, Portland, OR 97213-2933 |
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